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口腔鳞状细胞癌中人乳头瘤病毒的患病率:一项基于农村教学医院的横断面研究。

Prevalence of human papillomavirus in oral squamous cell carcinoma: A rural teaching hospital-based cross-sectional study.

作者信息

Rajesh Deepa, Mohiyuddin S M Azeem, Kutty A V Moideen, Balakrishna Sharath

机构信息

Department of Cell Biology and Molecular Genetics, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India.

Department of Otorhinolaryngology and Head and Neck Surgery, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, Karnataka, India.

出版信息

Indian J Cancer. 2017 Jul-Sep;54(3):498-501. doi: 10.4103/ijc.IJC_272_17.

Abstract

BACKGROUND

Human papillomavirus (HPV) is a well-established oncogenic agent in the pathogenesis of cervical carcinoma. Its role in the oncogenesis of tumors such as oral squamous cell carcinoma (OSCC) is not clear. Globally, approximately 3% of OSCCs are positive for HPV. Studies conducted in India indicate its prevalence from as low as 0% to as high as 74%. However, a recent Indian study on leukoplakia failed to find any evidence of HPV involvement. This motivated us to reexamine the HPV status in OSCC.

AIM

To evaluate the prevalence of HPV in OSCC.

SETTINGS AND DESIGN

This was a rural teaching hospital-based cross-sectional study.

SUBJECTS AND METHODS

Sixty histopathologically confirmed samples of OSCC were used for the study. Genomic DNA was isolated from frozen, surgically-resected specimens. HPV positivity was tested by polymerase chain reaction-based method using GP5+/6+ primers in the L1 consensus region of the viral genome.

RESULTS

None of the samples were HPV positive.

CONCLUSIONS

Results of this study indicate that the association between HPV and OSCC may be overestimated. Hence, multicentric studies covering diverse geographical and socioeconomic groups are needed to delineate the profile of HPV infectivity and OSCC in the Indian subcontinent.

摘要

背景

人乳头瘤病毒(HPV)是子宫颈癌发病机制中公认的致癌因子。其在口腔鳞状细胞癌(OSCC)等肿瘤发生中的作用尚不清楚。在全球范围内,约3%的OSCC患者HPV呈阳性。在印度开展的研究表明,其患病率低至0%,高至74%。然而,印度最近一项关于白斑病的研究未发现任何HPV参与的证据。这促使我们重新审视OSCC中的HPV状况。

目的

评估OSCC中HPV的患病率。

设置与设计

这是一项基于农村教学医院的横断面研究。

研究对象与方法

60份经组织病理学确诊的OSCC样本用于本研究。从冷冻的手术切除标本中分离基因组DNA。采用基于聚合酶链反应的方法,使用病毒基因组L1保守区域的GP5+/6+引物检测HPV阳性情况。

结果

所有样本HPV均为阴性。

结论

本研究结果表明,HPV与OSCC之间的关联可能被高估。因此,需要开展涵盖不同地理和社会经济群体的多中心研究,以描绘印度次大陆HPV感染性和OSCC的情况。

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